This article describes a nurse-managed community health outreach project, at the Health Promotion Center (HPC) of Fairfield University School of Nursing, to prevent cardiovascular disease in an inner-city community. F...
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This article describes a nurse-managed community health outreach project, at the Health Promotion Center (HPC) of Fairfield University School of Nursing, to prevent cardiovascular disease in an inner-city community. Flexibility in the project's grant funding has enabled the HPC to use a customer-oriented approach to develop programs. The article details the application of community health nursing and quality management practices to the development of HPC's cardiovascular-disease-screening program.
The aim of this paper is to demonstrate how the Acute Chest Triage Rapid Intervention Team (ACTRITE), of North Mersey Community (NHS) Trust, (NMCT) was developed and how it functions. Also demonstrated is a retrospect...
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The aim of this paper is to demonstrate how the Acute Chest Triage Rapid Intervention Team (ACTRITE), of North Mersey Community (NHS) Trust, (NMCT) was developed and how it functions. Also demonstrated is a retrospective audit of 50 patients cared for by the team. The ACTRITE Service is a development between NMCT and Aintree Chest Centre. This service integrates primary and secondary care for patients with acute exacerbations of chronic obstructive pulmonary disease (COPD). The ACTRITE team is based in the Accident and Emergency (A&E) Department of Fazakerley Hospital, UK. It is a team of nurses specializing in patients with COPD, supported by senior respiratory physicians. Patients who attend A&E with an exacerbation of their chest condition will be assessed by the team to determine if, with suitable medication, nursing and social support they might safely and preferably be cared for at home. The assessment will consider all aspects of the patient problem and the aim is to care for the patient holistically. If home care is deemed appropriate, ACTRITE will provide full support for the patient at home. This includes regular visits from the ACTRITE nurses, supported in the evening and overnight by the district nursing team.
If home care providers have computers and Internet connections at work or home, they can access the latest information regarding their clients' diseases, communicate with colleagues by electronic mail (E-mail), ac...
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If home care providers have computers and Internet connections at work or home, they can access the latest information regarding their clients' diseases, communicate with colleagues by electronic mail (E-mail), access government health care policies affecting home care, and much more. The Internet's increased popularity and utilization are a result of high-speed, high-capacity personal computers and related equipment and the development of easy-to-use graphics-intensive software.
This article describes a nursing intervention called Teen Club that was designed to reduce risk-taking behavior and improve well-being in female African American adolescents. Participants were referred to Teen Club by...
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This article describes a nursing intervention called Teen Club that was designed to reduce risk-taking behavior and improve well-being in female African American adolescents. Participants were referred to Teen Club by their nurse practitioners, physicians, and a community health nurse who were working at an urban neighborhood health center's teen clinic. Referrals were based on factors such as parental substance abuse, lack of social and family support, and other characteristics thought to increase vulnerability to risk-taking behavior. The 2-year intervention included weekly group meetings co-led by a European American female community health nurse and a Latino American male community worker, supplemented by case management and home visits by both these persons. Findings from a retrospective group interview conducted with 11 of the 12 original participants are presented. This is the first step in a series of pilot studies designed to refine the Teen Club intervention in anticipation of a future prospective, randomized investigation of this health promotion and disease prevention model of nursing care.
As America's elderly population continues to age, accessing adequate primary health care becomes more difficult. A survey of 22 homebound elderly people examined their acceptance of the expanded role functions of ...
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As America's elderly population continues to age, accessing adequate primary health care becomes more difficult. A survey of 22 homebound elderly people examined their acceptance of the expanded role functions of nurse practitioners to meet primary care needs in their homes. Chi-square analyses correlated participants' answers to demographic information. Only the variables of income and religion indicated statistical significance (P < .05) when correlated with expanded functions. Protestants, elders with no religious affiliation, and those with incomes below $20,000 indicated they would allow nurse practitioners to perform more expanded role functions than Catholics and those with higher incomes would. Generatizability is limited because of the small sample size, indicating a need for additional research with larger samples and more diverse populations.
When it comes to home care agencies and their boards of directors, I've sat in both chairs. As a physician assistant (PA), I provided home care directly when I worked for a multispecialty physician practice and he...
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When it comes to home care agencies and their boards of directors, I've sat in both chairs. As a physician assistant (PA), I provided home care directly when I worked for a multispecialty physician practice and helped start its house call program. In that position, I worked closely with several area home care agencies and developed collaborative relationships with nursing colleagues. More recently, as a concerned consumer and advocate for home care, I have been a member of the board of directors of a small, nonprofit home care agency in the rural town in which I live. Having had both perspectives has helped me considerably to know the players, their roles, their shared history, and their current concerns.
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